person
Miss Shannon Dervay, LPC,NCC,CACI
Professional Counselor in Chester, South Carolina
NPI 1518254416

Shannon Dervay is a Professional Counselor based in Fort Mill, SC and is specialized in Professional. Shannon Dervay practices in Chester, SC and has the professional credentials of LPC,NCC,CACI. The NPI Number for Shannon Dervay is 1518254416 and holds a License No. 1105055 (South Carolina).

The current practice location address for Shannon Dervay is 130 Hudson St, Chester, SC and can be reached out via phone at 803-377-8111 and via fax at 803-581-5380.

Location: 130 Hudson St, Chester, SC, 29715-8213
person
Provider Profile Details
NPI Number
1518254416
Provider Name
Shannon Dervay
Credential
LPC,NCC,CACI
Provider Entity Type
Individual
Gender
Female
Address
130 Hudson St, Chester, SC, 29715-8213
Phone Number
803-377-8111
Fax Number
803-581-5380
Provider Enumeration Date
06/30/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
130 Hudson St
City
State
Zip
29706-1524
Phone Number
803-377-8111
Fax Number
803-581-5380
person
Provider Business Mailing Address Details
Address
130 Hudson St
City
State
Zip
29706-1524
Phone Number
803-377-8111
Fax Number
803-581-5380
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
5145 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1105055 (South Carolina)
Definition
Definition to come...
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